Ut Physicians Specialty Services
Ut Physicians Aco Squatty Lyons · Pediatrics

Address: 1712 1st St E, Humble, TX 77338
Phone: 2814464139

Ut Physicians Specialty Services (NPI# 1750875548) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1750875548
Entity Type Organization
Organization Name UT PHYSICIANS SPECIALTY SERVICES
Other Organization Name UT PHYSICIANS ACO SQUATTY LYONS
Practice Address 1712 1st St E
Humble
TX 77338
Practice Telephone 2814464139
Mailing Address Po Box 301448
Dallas
TX 75303-1448
Mailing Telephone 8323256500
Authorized Official Name Andrew Casas (CHIEF OPERATING OFFICER)
Authorized Official Telephone 8323257325
Organization Subpart No, this organization is not a Subpart
Enumeration Date 2018-06-15
Last Update Date 2018-06-22

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 208000000X Pediatrics Allopathic & Osteopathic Physicians

Other Provider Identifier

State Identifier Issuer Type Code
TX 195996720 MEDICAID

Other Provider/Organization Names

Other Name Type Code
UT PHYSICIANS ACO SQUATTY LYONS Doing Business As Name - Organization

Providers with the same name

NPI Name Taxonomy Address Enumeration
1013498690 Ut Physicians Specialty Services Pediatrics 5516 Lockwood Dr., Houston, TX 77026-1919 2018-08-22
1366928418 Ut Physicians Specialty Services Pediatrics 9105 N. Wayside Dr., Houston, TX 77028-1030 2018-07-12
1346726585 Ut Physicians Specialty Services Pediatrics 5503 Fry Rd, Katy, TX 77449 2018-07-11
1568937100 Ut Physicians Specialty Services Pediatrics 5656 Kelley St, Houston, TX 77026-1967 2018-10-10
1578046520 Ut Physicians Specialty Services Pediatrics 1602 Garth Rd, Baytown, TX 77520-7752 2018-09-14
1427534353 Ut Physicians Specialty Services Pediatrics 4755 Aldine Mail Rte, Houston, TX 77039-5934 2018-07-13
1639665490 Ut Physicians Specialty Services Pediatrics 818 Ringold St, Houston, TX 77188 2018-07-05
1619461407 Ut Physicians Specialty Services Pediatrics 8901 Boone Rd, Houston, TX 77099 2018-06-15
1467964965 Ut Physicians Specialty Services Pediatrics 2620 E Crosstimbers St, Houston, TX 77093-8629 2017-10-25
1437670411 Ut Physicians Specialty Services Pediatrics 1200 Binz St Ste 850, Houston, TX 77004-6933 2017-06-29
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Taxonomy Information

Taxonomy Code 208000000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics

Taxonomy Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1134445737 Caroline A Marcus Pediatrics 8233 N Sam Houston Pkwy, Humble, TX 77396-2922 2010-04-08
1104089663 Nhu Quynh Do Pediatrics 19333 Highway 59 N Ste 145, Humble, TX 77338-4272 2008-07-05
1265465686 Nagaraja R Srinivasamurthy Pediatrics 1712 1st St E, Humble, TX 77338-5238 2006-07-09
1952383838 Vernicka Deshawn Porter-sales Pediatrics 17634 Bear River Ln, Humble, TX 77346-1558 2005-11-16
1881696391 Mason Gilfoil Pediatrics 9701 N Sam Houston Pkwy E, 170, Humble, TX 77396-4636 2005-08-15
1013337450 Bellatrix Margarita Vivas Pediatrics 104 E Main St, Humble, TX 77338-4513 2014-04-24
1295179547 Nisha Rathore Pediatrics 8233 N Sam Houston Pkwy E, Humble, TX 77396-2922 2013-04-17
1255674487 Caitlin Carroll Pediatrics 18350 Timber Forest Dr, Ste. 100, Humble, TX 77346-2957 2013-04-06
1063779411 David Liang Pediatrics 18350 Timber Forest Dr, Ste 100, Humble, TX 77346-2957 2012-04-23
1740550326 Tch Pediatric Associates, Inc Pediatrics 9701 N Sam Houston Pkwy E, Suite 170, Humble, TX 77396-4636 2012-01-12
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Office Location

Street Address 1712 1ST ST E
City HUMBLE
State TX
Zip Code 77338

Providers in the same location

NPI Name Taxonomy Address Enumeration
1265465686 Nagaraja R Srinivasamurthy Pediatrics 1712 1st St E, Humble, TX 77338-5238 2006-07-09
1326356973 Humaira Abid Family Medicine 1712 1st St E, Humble, TX 77338-5238 2010-09-16
1730191206 Zainab Hamza Soumahoro Family Medicine 1712 1st St E, Humble, TX 77338-5238 2006-08-13

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1295337194 Abiel Haileab Tsegai Pharmacist 9451 Fm 1960 Bypass West, Humble, TX 77338 2020-11-15
1265033690 Daniel, Max & Marcandrea, LLC Optometrist 9475 Fm 1960, Humble, TX 77338 2020-11-03
1942818240 Karla Marize Howard Nurse Practitioner 18980 W. Memorial Dr. Suite 100 Plaza 2, Humble, TX 77338 2020-07-22
1902437981 Houston Mint Dentistry, Pllc Dentist 9509 Fm 1960 Ste 200, Humble, TX 77338 2020-01-29
1053957514 Sherrie Conn Technician 20430 Moon Walk Dr, Humble, TX 77338 2019-11-20
1235772450 Madeline Rigler Dietitian, Registered 18980 N Memorial Dr Ste 100, Humble, TX 77338 2019-10-21
1982254025 Daira Lynn Springer Registered Nurse 18980 W Memorial Dr., Suite 100, Humble, TX 77338 2019-09-19
1306494687 Strategic Development & Instruction Counselor 9802 Farm To Market 1960 Bypass, Humble, TX 77338 2019-08-29
1124689732 Caroline Elizabeth Le Dentist 9490 Farm To Market 1960 Bypass Rd W, Suite 700, Humble, TX 77338 2019-06-25
1699246181 Deerbrook Asc LLC Clinic/Center 18450 Hwy 59 Suite 101-b, Humble, TX 77338 2018-12-10
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Competitor

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City HUMBLE
Zip Code 77338

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.